Fill Out Your Application Below
Full Name
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Phone
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Email
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Gender
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Female
Male
Prefer not to say
Age
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City
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Job/Occupation:
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Height:
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Current Weight (lbs):
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Goal Weight (lbs):
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Is coaching something you need or want?
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I know I need it!
I think i want it
Have you ever invested in a coach before? If so, describe your experience:
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What is your fitness level?
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Beginner - I've been on and off and have never been consistent
Intermediate - I've been training 2-4 days a week consistently for 1-2 years
Advanced- I've been training 3-5 days a week consistently for over 2 years
Im between Beginner and Intermediate
Im between Intermediate and Advanced
Beginner Beginner - I have never trained
What is your primary fitness goal?
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Lose weight and drop body fat
Maintain weight and tone/shred
Gain weight and bulk up
Learn how to live healthier
What outcome would you consider a success? (Be as specific as possible)
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On a scale of 1-10, how urgent is achieving your fitness goal?
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1
2
3
4
5
6
7
8
9
10
On a scale of 1-10, how satisfied are you with your body?
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1
2
3
4
5
6
7
8
9
10
On a scale of 1-10, how impactful is your physical health on your mental health and confidence?
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1
2
3
4
5
6
7
8
9
10
Does it make you uncomfortable when you look at your body in the mirror without clothes on?
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Yes
No
Sometimes
Are you confident taking progress pictures of yourself?
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Yes
No
Not Sure
What would you be willing to invest in yourself if guaranteed results?
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$1,500 - $,2000
$2,000 - $,3000
$3,000 - $,4,500
$5,000+
I cant afford to invest in myself right now, just seeking guidance
Are you the sole financial decision-maker?
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Yes
No, I need to consult with someone else
Application Date
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Application Signature
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Clear
